Forensic Accountability Report: December 26, 2023 HHS OCR Transaction No. CU-24-556884 – Signed Complainant Consent Form Submitted Same Day with Explicit “NOT my Medical Records” Notation and ADA Reasonable Accommodations Request (Single Consolidated Email Thread + Complaint Number in All Correspondences) Due to Brain Injury – Full Thread and Signed Form Preserved

Forensic Accountability Report: December 26, 2023 HHS OCR Transaction No. CU-24-556884 – Signed Complainant Consent Form Submitted Same Day with Explicit “NOT my Medical Records” Notation and ADA Reasonable Accommodations Request (Single Consolidated Email Thread + Complaint Number in All Correspondences) Due to Brain Injury – Full Thread and Signed Form Preserved Executive Summary WHO Complainant: David Medeiros, brain-injury and stroke survivor, Medicaid ABI Waiver provider, and whistleblower. Agency: U.S. Department of Health and Human Services, Office for Civil Rights (HHS OCR). Transaction: CU-24-556884. WHAT Signed and returned the required Complainant Consent Form on the same day received, explicitly noting “NOT my Medical Records.” Simultaneously requested ADA reasonable accommodations for brain injury: all future communications consolidated into a single email thread and inclusion of the complaint number in every message. WHEN OCR initial email December 26, 2023 at 12:13 PM; David’s reply same day at 1:39 PM with signed form and accommodations request. Read receipts confirm OCR opened the response the same day. WHERE Submitted electronically to OS OCR CIU/CRC . WHY To advance the civil-rights complaint while ensuring accessibility and organization for his brain injury, and to protect medical privacy. HOW Followed OCR instructions exactly (reply to same email, no subject change). Attached signed form. Added clear, polite accommodations request tied to documented disability. Complete Expanded Forensic Timeline Reconstruction December 26, 2023 12:13 PM: OCR sends acknowledgment requiring signed consent form and 5-day response deadline. December 26, 2023 1:39 PM: David replies with signed form (explicit “NOT my Medical Records” notation), accommodations request for single thread and complaint number, and thanks for support. December 26, 2023 afternoon: Outlook read and delivery receipts confirm OCR opened the response. Ongoing: Transaction CU-24-556884 now active; full privacy notices, consent form, and notices to complainants preserved. Detailed Sources (All Public & Verifiable) Full email thread (OCR initial + David’s reply). Signed Complainant Consent Form with handwritten note. OCR Privacy Act Notice, Protecting Personal Information Fact Sheet, and language assistance information. Read and delivery receipts. The Complete Bigger Picture for the World (Expanded Multi-Angle Analysis) This December 26, 2023 filing is a clear example of a brain-injury survivor navigating federal civil-rights processes while simultaneously requesting the exact accommodations the system is designed to provide. Multi-Angle Perspectives Disability Rights Angle: David explicitly invoked the ADA for accommodations (single thread, complaint number in every email) to ensure meaningful participation despite cognitive and organizational challenges from brain injury. Privacy Angle: He withheld authorization for medical records while still consenting to identity disclosure for investigation purposes a precise, informed exercise of rights. Whistleblower & Public Interest Angle: The complaint ties directly to ongoing CHRO case 2410220 and broader Medicaid/ADA issues documented in the archive. Edge Cases & Nuances: OCR’s own instructions emphasize electronic submission during telework; David complied immediately and added polite, specific accommodations requests. Implications for Federal Agencies: Demonstrates how individuals with disabilities can effectively use OCR processes when agencies provide clear instructions and when requesters clearly articulate needs. Related Considerations This filing connects to the December 21, 2023 FOIA request, December 23, 2023 letter to Governor Lamont, and the broader series on ADA compliance, retaliation, and Medicaid transparency. All information is from public records. This page is part of the permanent Forensic Accountability Reports series on David-Medeiros.com. It will be updated when OCR provides further correspondence or resolution. All source emails, the signed consent form, privacy notices, and the complete thread are preserved and publicly linked in the Accountability Archive at David-Medeiros.com. Professional Contact Information David Medeiros ABI Resources – Medicaid Acquired Brain Injury Waiver Program Provider 39 Kings Highway, Suite C Gales Ferry, CT 06335 Phone: 860-942-0365 Website: www.CTbrainINJURY.com Permanent Archive: David-Medeiros.com Appendix: Full Text of the December 26, 2023 HHS OCR Transaction No. CU-24-556884 Thread (Complete Document) OCR Initial Email – December 26, 2023 12:13 PM Dear David Medeiros: Thank you for your complaint filed with the U.S. Department of Health and Human Services, Office for Civil Rights (OCR). We have reviewed your complaint, but require a signed consent form from you before we can proceed with your complaint. Attached is a Complainant Consent Form for your convenience. Returning Consent Form to OCR: You may return the completed consent form to OCR by doing the following: Replying to this email. When replying to this email, please do not change the subject line, and please do not send any other messages to this email address. Note that in accordance with the Office of Personnel Management’s and CDC’s guidelines on COVID-19, HHS personnel are continuing to telework and offices are closed until further notice. OCR is committed to handling your complaint as quickly as possible and continuing to serve you in a virtual capacity, therefore, we strongly encourage you to submit the Complainant Consent Form electronically rather than mail or fax. Please respond to this email within 5 days. If we do not receive a response by the requested date, OCR will be unable to investigate your case, and your file will be closed. If your complaint is closed, you may file another complaint with this office when you are able to submit more complete information. However, under the law, we can only investigate complaints that are filed within 180 days of when you knew or should have known of the possible violation. In some limited circumstances, OCR can give you more time, but only if you have a very good reason for having filed a late complaint. For questions or additional assistance, please contact Centralized Case Management Operations at (800) 368-1019 or (202) 619-3257 (TDD). Thank you. Sincerely, Office for Civil Rights Centralized Case Management Operations U.S. Department of Health and Human Services David Medeiros Reply – December 26, 2023 1:39 PM 12.26.2023 HHS OCR Transaction No.: CU-24-556884 The signed consent document is attached. Additionally, I do not authorize my medical information. I am writing to kindly request your assistance in accommodating a specific need I have due to my brain injury. To aid in my comprehension and organization, could you please ensure that all our communications regarding this matter are consolidated into a single email thread? Separated communications can pose a significant challenge for me, impacting my ability to fully participate and stay organized. Additionally, it would be immensely helpful if you could include the complaint as well as the identifying number of my complaint in all correspondences. This small adjustment would greatly assist me in tracking our discussions and responding effectively. Your understanding and cooperation in this matter are greatly appreciated. Thank you for your support and assistance in making these communications more accessible for me. Best regards, David Medeiros ABI Resources Medicaid Acquired Brain Injury ABI Waiver Program Provider Forensic Accountability Report December 26, 2023 HHS OCR Transaction No. CU-24-556884 – Signed Complainant Consent Form Submitted Same Day with Explicit “NOT my Medical Records” Notation and ADA Reasonable Accommodations Request (Single Consolidated Email Thread + Complaint Number in All Correspondences) Due to Brain Injury – Full Thread and Signed Form Preserved Permanent Public Record – David-Medeiros.com Accountability Archive Published / Last Updated: February 19, 2026 Author: David Medeiros, Brain-Injury & Stroke Survivor, Founder & Provider, ABI Resources – Medicaid Acquired Brain Injury (ABI) Waiver Program